ArticlePediatrics international : official journal of the Japan Pediatric Society2015
Pneumomediastinum, pneumorrhachis and subcutaneous emphysema associated with viral infections: Report of three cases.
Article in Pediatrics international : official journal of the Japan Pediatric Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Severe pneumomediastinum in an infant with respiratory syncytial virus infection: A case report.Medicine · 2025Article
- Spontaneous pneumothorax in children: a radiological perspective.Pediatric radiology · 2024Article
- Spontaneous Pneumomediastinum in Children with Viral Infections: Report of Three Cases Related to Rhinovirus or Respiratory Syncytial Virus Infection.Children (Basel, Switzerland) · 2022Article
- A case report of pneumomediastinum in a COVID-19 patient treated with high-flow nasal cannula and review of the literature: Is this a "spontaneous" complication?Clinical case reports · 2021Article
- Spontaneous pneumomediastinum and pneumorrhachis in a healthy girl.BMJ case reports · 2021Article
- Spontaneous subcutaneous emphysema and pneumomediastinum in non-intubated patients with COVID-19.Clinical imaging · 2020Article
- Rare Complication of Pneumomediastinum and Pneumopericardium in a Patient with COVID-19 Pneumonia.Case reports in pulmonology · 2020Article
- Pneumorrhachis in children: A report of two cases and review of the literature.Radiology case reports · 2019Article
- Pneumomediastinum, pneumorrhachis and subcutaneous emphysema associated with viral infections: Report of three cases.Pediatrics international : official journal of the Japan Pediatric Society · 2015Article
- COVID-19 presenting with spontaneous massive pneumomediastinum in a three-month-old child.Anaesthesia reportsArticle
- Incidence and outcomes following pulmonary barotrauma in COVID-19 ventilated and non-ventilated patients with acute respiratory failure: A retrospective study.Lung India : official organ of Indian Chest SocietyArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spontaneous pneumomediastinum is usually secondary to alveolar rupture in the pulmonary interstitium, associated with subcutaneous emphysema and occasionally with pneumothorax, but is rarely associated with pneumorrhachis. The leaked air into the pulmonary perivascular interstitium follows the path of least resistance from the mediastinum to the fascial planes of the neck. Air freely communicates via the neural foramina and collects in the epidural space. Pneumorrhachis is defined as the presence of air in the spinal canal, either in the intradural and/or extradural spaces. It is a very rare clinical entity and mostly asymptomatic, hence most probably underdiagnosed. Many pathological and physiological events can lead to alveolar rupture, and these clinical findings can be related to various, mainly traumatic and iatrogenic etiologies. Herein we report three cases of pneumomediastinum, subcutaneous emphysema, interstitial emphysema and pneumorrhachis in two cases, which were related to rhinovirus, human bocavirus and respiratory syncytial virus infection.
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